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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336425840
Report Date: 02/03/2026
Date Signed: 02/04/2026 04:02:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2025 and conducted by Evaluator Javier Prieto
COMPLAINT CONTROL NUMBER: 56-AS-20250710093444
FACILITY NAME:COTTAGES AT RIVERSIDEFACILITY NUMBER:
336425840
ADMINISTRATOR:TAWFIK, EVAFACILITY TYPE:
740
ADDRESS:6280 CLAY STREETTELEPHONE:
(951) 360-1616
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:110CENSUS: 92DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Julie Dion, Executive DirectorTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Resident was physically abused while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived at the facility to deliver findings regarding the above allegation. LPA met with Executive Director Dion and explained the purpose of the visit. The Department’s investigation included interviews and a review of facility records.

Interviews revealed that Resident #1 (R1) was admitted to the facility on June 6, 2025, with a care plan identifying fall risk. R1 was placed on hospice care on July 11, 2025. The investigation found no witnesses or evidence indicating physical abuse. Interviews were conducted with outside parties, facility staff, and residents, all of whom denied that R1 was physically abused. The facility staff reported that R1 sustained bruising from falling on June 19, 2025. All parties interviewed denied any concerns of mistreatment and stated that R1 expressed to like living at the facility. Residents interviewed at the facility described the staff as respectful and caring, and confirmed that R1 never reported being abused. A family member responsible for R1’s medical oversight stated they visited the facility many times and observed attentive care with no concerns of abuse.
***continued on 9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 56-AS-20250710093444
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: COTTAGES AT RIVERSIDE
FACILITY NUMBER: 336425840
VISIT DATE: 02/03/2026
NARRATIVE
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Based on interviews and records review, the investigation did not produce sufficient evidence to substantiate the allegation of physical abuse. Therefore, the allegation is Unsubstantiated.
An exit interview was conducted, during which this report was reviewed and a copy was provided to the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2